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SAN JOAN JIN COUNTY PUBLIC HEALTH St 'ICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFI OPERATED PROGRAM AGENCY <br />Valid <br />rogram vermit pro ram Code and Description <br />Record ID Number g <br />Underground Storage Tank Program: <br />16. <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulatioe Chaa us ys errype ea e ec ion <br />- - - - - - - ermi apace y on en <br />an � - an ecor <br />c Ive <br />2360 8 390002314050515333 PT0010812 15,000 <br />REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />Underground Storage Tank Permit Conditions <br />I ) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems) fails to remain in compliance with <br />these Permit Conditions, <br />2) In order to maintain the operating permit, the permit holder shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. l6 an <br />18, as well asanyconditions established by San Joaquin County. <br />to 3) Pe hie Ta shnk all ensure tha different <br />the Tank Owner and eer,ank or if the Permit <br />a0copy oferate ithe permit s issued to a person other than the owner or operator of the tank, the <br />Health <br />ion <br />are con <br />4) Written <br />Mo itori giProcedures <br />. Copies ofan the Procedures and Emergesidererd <br />rise Reslncy Resan tponsbe e PIan musroved t be atthe tached oethis 1permit orr besavvaiable or rreeview and/o inspect on <br />U <br />o UST site. <br />5) �htePl'ermittee shall comply with the monitoring procedures referrenced in this permit. <br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the <br />equipment manufacturer, and provide documentation of such servicing to this office. <br />7) In the event of a spill, leak, or other unauthorized release, the Permitee shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the <br />approved Emergency Response Plan. <br />g) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years <br />from the date the monitoring was performed. <br />9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />10) Upon any change in equipment, design or operation of the UST system (including change in tank contents or usage), the Permit to Operate will be subjectto <br />review, modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/EHD prior to any change, repair or removal of UST system equipment. <br />12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br />of this permit. <br />13) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Localagency. <br />s specified on the inspection report are not completed by the date(s) indicated. <br />14) A "Conditional" Permit may be revoked if correction <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SINGH, SATNAMIGILL JOGINDER <br />DBA: GET N GO MART <br />Regulated Facility: TRACY GET N GO MART <br />574 W GRANT LINE RD <br />TRACY, CA 95376 <br />Billing Address: ATTN : S SATNAMIJ GILL <br />TRACY GET N GO MART <br />574 W GRANTLINE RD <br />TRACY, CA 95376 <br />7023. rpt <br />Facility ID <br />Account ID <br />Issued <br />FA0003164 <br />AR0004953 <br />912812000 <br />